diff --git a/IRaCIS.Core.Application/Service/Doctor/DoctorService.cs b/IRaCIS.Core.Application/Service/Doctor/DoctorService.cs
index b541b8e8c..d21fd09e9 100644
--- a/IRaCIS.Core.Application/Service/Doctor/DoctorService.cs
+++ b/IRaCIS.Core.Application/Service/Doctor/DoctorService.cs
@@ -262,8 +262,10 @@ namespace IRaCIS.Core.Application.Service
                 }
             }
 
-            var exists = await _doctorSummarizeRepository.AnyAsync(x => x.DoctorId == inDto.DoctorId && x.TrialId == null &&
-                        (x.IndicationEn == inDto.IndicationEn && x.Indication == inDto.Indication));
+            var exists = await _doctorSummarizeRepository
+                .WhereIf(_userInfo.IsEn_Us, x=>x.IndicationEn == inDto.IndicationEn)
+                .WhereIf(!_userInfo.IsEn_Us, x=>x.Indication == inDto.Indication)
+                .AnyAsync(x => x.DoctorId == inDto.DoctorId && x.TrialId == null);
             if (exists)
             {
                 throw new BusinessValidationFailedException(_localizer["DoctorSummarize_repeat"]);